Dementia behaviour management programme at home: impact of a palliative care approach on care managers and professional caregivers of home care services

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Dementia behaviour management programme at home : impact of a palliative care approach on care managers and professional caregivers of home care services. / Nakanishi, Miharu; Endo, Kaori; Hirooka, Kayo; Nakashima, Taeko; Morimoto, Yuko; Granvik, Eva; Minthon, Lennart; Nägga, Katarina; Nishida, Atsushi.

I: Aging and Mental Health, Vol. 22, Nr. 8, 03.08.2018, s. 1063-1068.

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Nakanishi, Miharu ; Endo, Kaori ; Hirooka, Kayo ; Nakashima, Taeko ; Morimoto, Yuko ; Granvik, Eva ; Minthon, Lennart ; Nägga, Katarina ; Nishida, Atsushi. / Dementia behaviour management programme at home : impact of a palliative care approach on care managers and professional caregivers of home care services. I: Aging and Mental Health. 2018 ; Vol. 22, Nr. 8. s. 1063-1068.

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TY - JOUR

T1 - Dementia behaviour management programme at home

T2 - Aging and Mental Health

AU - Nakanishi, Miharu

AU - Endo, Kaori

AU - Hirooka, Kayo

AU - Nakashima, Taeko

AU - Morimoto, Yuko

AU - Granvik, Eva

AU - Minthon, Lennart

AU - Nägga, Katarina

AU - Nishida, Atsushi

PY - 2018/8/3

Y1 - 2018/8/3

N2 - Objectives: Care managers and professional caregivers of home care services are sometimes unaware of the psychosocial approaches to the challenging behaviour of dementia. Therefore, we developed a Behaviour Analytics & Support Enhancement (BASE) programme. We investigated the effects of the programme on the attitudes towards dementia care among professionals. Method: Forty-six participants in Japan received training in August 2016. The ongoing monitoring and assessment system was introduced to the participants for repeated measures of challenging behaviour. A 1-day follow-up meeting for debriefing was also performed after two months. A baseline and follow-up questionnaire survey was administered to the participating caregivers using a Japanese version of the Approaches to Dementia Questionnaire (ADQ) and the Zarit Burden Interview (ZBI). Results: A significant improvement was observed in the total ADQ score among the participating caregivers from baseline to follow-up assessment. There was no significant difference between the baseline and follow-up assessment in the ZBI scores. In the follow-up meeting, several participants reported challenges and suggested solutions in facilitating a discussion on an action plan among professionals from various organizations. Conclusion: The implementation of the programme resulted in enhanced attitudes towards dementia care among the participants without an increased burden of care. Future studies should examine the programme's effectiveness on the challenging behaviour of persons with dementia.

AB - Objectives: Care managers and professional caregivers of home care services are sometimes unaware of the psychosocial approaches to the challenging behaviour of dementia. Therefore, we developed a Behaviour Analytics & Support Enhancement (BASE) programme. We investigated the effects of the programme on the attitudes towards dementia care among professionals. Method: Forty-six participants in Japan received training in August 2016. The ongoing monitoring and assessment system was introduced to the participants for repeated measures of challenging behaviour. A 1-day follow-up meeting for debriefing was also performed after two months. A baseline and follow-up questionnaire survey was administered to the participating caregivers using a Japanese version of the Approaches to Dementia Questionnaire (ADQ) and the Zarit Burden Interview (ZBI). Results: A significant improvement was observed in the total ADQ score among the participating caregivers from baseline to follow-up assessment. There was no significant difference between the baseline and follow-up assessment in the ZBI scores. In the follow-up meeting, several participants reported challenges and suggested solutions in facilitating a discussion on an action plan among professionals from various organizations. Conclusion: The implementation of the programme resulted in enhanced attitudes towards dementia care among the participants without an increased burden of care. Future studies should examine the programme's effectiveness on the challenging behaviour of persons with dementia.

KW - Care managers

KW - challenging behaviour

KW - dementia

KW - home care workers

KW - palliative care

UR - http://www.scopus.com/inward/record.url?scp=85019712326&partnerID=8YFLogxK

U2 - 10.1080/13607863.2017.1332160

DO - 10.1080/13607863.2017.1332160

M3 - Article

VL - 22

SP - 1063

EP - 1068

JO - Aging and Mental Health

JF - Aging and Mental Health

SN - 1364-6915

IS - 8

ER -